Pathology · single question

During extraction of a maxillary premolar, tissue containing pseudostratified ciliated columnar epithelium is encountered, with no cyst visible radiographically. This tissue most likely originates from:

  1. The maxillary sinus (Schneiderian) membrane
  2. The nasal cavity lining
  3. An odontogenic cyst lining
  4. Granulomatous tissue
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Correct answer: A. The maxillary sinus (Schneiderian) membrane

The maxillary sinus is lined by a Schneiderian membrane composed of pseudostratified ciliated columnar (respiratory-type) epithelium. Encountering this tissue during a maxillary posterior extraction (given the close proximity of posterior maxillary roots to the sinus floor) suggests inadvertent communication with/violation of the sinus lining.

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